CCN: 748077 NPI: 1740537893 Organization

DEGUARDIAN HEALTH AGENCY INC

1507 LONESOME DOVE TRL
WYLIE, TX 750987983

Contact Information

Phone 4696883631
Fax 4692980395
Enumeration Date 2012-08-08
Last Updated 2013-11-06

Taxonomies

Code: 251E00000X License State: TX
Code: 251E00000X (Primary) License State: TX License: 015361

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

censusDivision 7

cbsaActualGeographicLocation 19124

providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 19124

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 19124

providerType 36

carrierCode 04412

localityCode 99

cbsaActualGeographicLocation 19124

providerType 36

specialPaymentIndicator

carrierCode 04412

localityCode 99